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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Shortness Of Breath, Anxiety And Headache

client is female, aged 54 YO, complains of shortness of breath, anxiety,headache, investigations done blood sugar is normal, what happens if TMT is positive but the patient have no complain of blood pressure, diabetes, her sugar level is normal, cholesterol is 204 mg%



Mon, 22 Feb 2016
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Pulmonologist 's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
TMT (trade mill test) can be positive with normal blood pressure, lipid level and sugar levels.
Positive TMT is suggestive of coronary artery disease (CAD)
Stress and anxiety are independent risk factors for heart diseases like CAD.
And risk of CAD is high in post menopausal woman (54 years). So your client should be evaluated for CAD.
So ask her to consult cardiologist and get done Coronary angiography to rule out CAD.
If there is obstruction then she will need stenting or bypass procedure depending on the angiography report.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your client. Thanks.
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Suggest Treatment For Shortness Of Breath, Anxiety And Headache

Thanks for your question on Health Care Magic. I can understand your concern. TMT (trade mill test) can be positive with normal blood pressure, lipid level and sugar levels. Positive TMT is suggestive of coronary artery disease (CAD) Stress and anxiety are independent risk factors for heart diseases like CAD. And risk of CAD is high in post menopausal woman (54 years). So your client should be evaluated for CAD. So ask her to consult cardiologist and get done Coronary angiography to rule out CAD. If there is obstruction then she will need stenting or bypass procedure depending on the angiography report. Hope I have solved your query. I will be happy to help you further. Wishing good health to your client. Thanks.